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1558980821
CHANTEL GORDON
BRONX, NY
NPI
1558980821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-15
Last Update Date
2020-04-15
Business Address
CHANTEL GORDON MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
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Mailing Address
CHANTEL GORDON MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
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